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Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trial

2020-11-22Journal article Open access
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dc.contributor.authorPinho, Lara Guedes de
dc.contributor.authorSequeira, Carlos
dc.contributor.authorSampaio, Francisco
dc.contributor.authorRocha, Nuno
dc.contributor.authorOZASLAN, ZEYNEP
dc.contributor.authorFerre‐Grau, Carme
dc.date.accessioned2020-11-25T10:57:48Z
dc.date.available2021-11-22T01:30:18Z
dc.date.issued2020-11-22
dc.description.abstractAim: To evaluate the efficacy of metacognitive group training in reducing psychotic symptoms and improving cognitive insight and functions in people with schizophrenia.Design: Randomized controlled trial. It was carried out between July 2019-February 2020. Methods: Fifty-six patients with schizophrenia were enrolled and randomly as- signed to either a control group (N = 29) or a metacognitive training group (N = 27). Blinded assessments were made at baseline, 1-week post-treatment and at follow-up 3 months after treatment. The primary outcome measure was psychotic symptoms based on the Psychotic Symptom Rating Scales (PSYRATS). Secondary outcomes were assessed by the Beck Cognitive Insight Scale (BCIS), the Personal and Social Performance (PSP) scale and the World Health Organization Disability Assessment Schedule (WHODAS). Results: Completion at follow-up was high (92.86%). The intention-to-treat analy- ses demonstrated that patients in the metacognitive training group had significantly greater improvements of the Psychotic Symptom Rating Scales delusion score and total score and the Personal and Social Performance Scale, after 3 months, compared with the control group. The effect size was medium to large. The intention-to-treat analyses also demonstrated that patients in the metacognitive training group had significantly greater reductions of the Psychotic Symptom Rating Scales hallucination score and Beck Cognitive Insight Scale self-certainty score post-treatment, compared with the control group. The effect size was medium to large. Conclusion: The metacognitive training administered by psychiatric and mental health nurses was effective in ameliorating delusions and social functioning over time and it immediately reduced hallucinations post-treatment. Impact: Metacognitive training for treating psychosis in patients with schizophrenia is efficacious and administration is clinically feasible in the Portuguese context.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1111/jan.14627pt_PT
dc.identifier.urihttp://hdl.handle.net/10284/9159
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectBeck Cognitive Insight Scale (BCIS)pt_PT
dc.subjectCognitive insightpt_PT
dc.subjectMental health nursingpt_PT
dc.subjectMetacognitive trainingpt_PT
dc.subjectPersonal and Social Performance (PSP) scalept_PT
dc.subjectPsychiatric nursingpt_PT
dc.subjectPsychotic Symptom Rating Scales (PSYRATS)pt_PT
dc.subjectPsychotic symptomspt_PT
dc.subjectRandomized controlled trialpt_PT
dc.subjectSchizophreniapt_PT
dc.subjectSocial functioningpt_PT
dc.titleAssessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: a randomized controlled trialpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage14pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleJournal of Advanced Nursingpt_PT
person.familyNameGuedes de Pinho
person.familyNameCruz Sequeira
person.familyNameSampaio
person.familyNameBarbosa Rocha
person.familyNameOZASLAN
person.givenNameLara Manuela
person.givenNameCarlos Alberto
person.givenNameFrancisco
person.givenNameNuno
person.givenNameZEYNEP
person.identifierhttps://scholar.google.com/cit
person.identifierM-9821-2013
person.identifier.ciencia-id1E19-40E0-C6F4
person.identifier.ciencia-idEC12-73D4-420B
person.identifier.ciencia-id9911-C5DD-4861
person.identifier.ciencia-idAE16-A494-5F8B
person.identifier.orcid0000-0003-1174-0744
person.identifier.orcid0000-0002-5620-3478
person.identifier.orcid0000-0002-9245-256X
person.identifier.orcid0000-0002-3139-2786
person.identifier.orcid0000-0001-9400-7825
person.identifier.ridA-1302-2018
person.identifier.scopus-author-id57200304294
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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